Pediatrician and American Academy of Pediatrics Fellow Dr. Dennis Cooley notes that parents’ concerns over babies spitting up are as common as spit-up itself. It’s also perfectly normal. Parents can help reduce spit-up and make meal times less stressful by choosing the right equipment. “Bottle-feeders will want to make sure they have an appropriate nipple that allows breastmilk or formula to flow just right,” recommends Cooley. “They’ll also want to keep a kid relatively upright during feeding. Keeping them flat, or having a nipple that allows a baby to draw in too much air as they suck can increase spit-up incidents.”